How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $128.82 | Professional | None | $79.43 | $79.43 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $173.78 | Professional | None | $85.11 | $112.20 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $204.17 | Professional | None | $93.33 | $117.49 | $204.17 |
Denver HMP Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $218.78 | Facility | None | $79.43 | $109.65 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $162.18 | Professional | None | $63.10 | $95.50 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $138.04 Typical High $154.88 | Facility | None | $74.13 | $138.04 | $154.88 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $107.15 | Professional | None | $57.54 | $74.13 | $107.15 |
United Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | None | $95.50 | $120.23 | $190.55 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $39.81 Typical High $46.77 | Professional | 52 · Reduced service | $38.02 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.85 Typical High $18.62 | Professional | 53 · Discontinued | $15.14 | $15.85 | $18.62 |
Where Colorado sits
The same service costs 2.8 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 23rd of 51
$110
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.